Heat Pump Upgrade Incentive Rebate Form
Applicant Information
Full Name
Installation Address
City
Postal Code
Phone Number
Email
Equipment Information
Existing Heating System
Installed Heat Pump Model
Manufacturer
Date Installed
Installer Information
Installer Company Name
Installer Phone Number
Supporting Documents
Upload Invoice
Upload Installation Photos
Declaration
I confirm that the information provided above is accurate and complete to the best of my knowledge.